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General NPI Number Information
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NPI Number | 1255697520
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Entity Type | Organization
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Legal Business Name | TOWER HEALTH CENTER, INC.
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 1912 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33324-5849
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Country | US
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Telephone | 954-452-1000
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Fax | 654-452-1609
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Provider Business Mailing Address
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Address Line | 1912 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33324-5849
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Country | US
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Telephone | 954-452-1000
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Fax | 654-452-1609
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Authorized Official
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Title or Position | OWNER
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Name | DR. CRAIG A MAYER
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Credential | D.C
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Telephone | 954-452-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH6160
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License Number State | FL
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